Research Article

Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women

Volume: 7 Number: 4 July 25, 2024
EN

Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women

Abstract

Purpose: The purpose of this research was to estimate Patellofemoral Joint Dysfunction in obese postmenopausal women. Methods: Depending on selection criteria, 100 obese postmenopausal women were selected by simple random sampling method. Written consent was taken and a detailed outcome assessment was done by using a Numerical Pain Rating Scale for pain assessment, Range of motion of hip, knee, ankle joint, Waldron Test, Eccentric Step-down Test, and Quadriceps angle. Statistical analysis was done and results were obtained. Findings: Among the 100 participants, 63% of women experienced pain during their daily activities. The mean pain intensity at rest was 2.25 ± 1.91, and during activity, it increased to 3.28 ± 6.60 (p value < 0.0001). The range of motion in the hip, knee, and ankle joints was reduced compared to that of individuals in the same age group without pain. Specifically, Hip extension-adduction, knee extension, and ankle plantarflexion-inversion-eversion had a p value of <0.0001. For hip flexion-abduction-medial and lateral rotation, knee flexion, and ankle dorsiflexion, the p values were 0.0003, 0.1952, 0.0001, 0.003, 0.0392, and 0.0333. Additionally, 35% of women had quadriceps angles greater than 180 degrees, while the remaining 65% had angles less than 180 degrees. 63% of women exhibited crepitus during activities like stair climbing and walking. 52% of women tested positive on the Waldron Test. 60% of women showed positive findings on the Eccentric Step-down Test. Conclusion: It concluded that there is significant Patellofemoral Joint Dysfunction in obese postmenopausal women.

Keywords

Menopause , obesity , pain , degeneration , dysfunction

References

  1. Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of pain research, 11, 851–856. [Pubmed]
  2. Arrebola, L. S., Carvalho, R. T. D., Lima, V. C. D. O., Percivale, K. A. N., Oliveira, V. G. C. D., & Pinfildi, C. E. (2020). Influence of body mass index on patellofemoral pain. Fisioterapia em Movimento, 33, e003309. [CrossRef]
  3. Bhore, P., & Shinde, S. (2023). Effect of multi-component exercises program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint. Journal of Education and Health Promotion, 12(1), 138. [PubMed]
  4. Bollinger L. M. (2017). Potential contributions of skeletal muscle contractile dysfunction to altered biomechanics in obesity. Gait & posture, 56, 100–107. [PubMed]
  5. Brechter, J. H., & Powers, C. M. (2002). Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain. Gait & posture, 16(2), 115–123. [PubMed]
  6. Cook, C., Mabry, L., Reiman, M. P., & Hegedus, E. J. (2012). Best tests/clinical findings for screening and diagnosis of patellofemoral pain syndrome: a systematic review. Physiotherapy, 98(2), 93–100. [PubMed]
  7. Crossley, K. M., Bennell, K. L., Cowan, S. M., & Green, S. (2004). Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid?. Archives of physical medicine and rehabilitation, 85(5), 815–822. [PubMed]
  8. Cunha-Henriques, S., Costa-Paiva, L., Pinto-Neto, A. M., Fonsechi-Carvesan, G., Nanni, L., & Morais, S. S. (2011). Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. Journal of clinical medicine research, 3(4), 168–176. [PubMed]
  9. Ekim, A. A., Hamarat, H., & Musmul, A. (2017). Relationship Between Q-Angle and Articular Cartilage in Female Patients With Symptomatic Knee Osteoarthritis: Ultrasonographic and Radiologic Evaluation. Archives of rheumatology, 32(4), 347–352. [PubMed]
  10. Ersoz, M., & Ergun, S. (2003). Relationship between knee range of motion and Kellgren-Lawrence radiographic scores in knee osteoarthritis. American journal of physical medicine & rehabilitation, 82(2), 110–115. [PubMed]
APA
Joshi, A., Shinde, S., & Jain, P. (2024). Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports and Health Sciences, 7(4), 712-720. https://doi.org/10.33438/ijdshs.1408322
AMA
1.Joshi A, Shinde S, Jain P. Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports &Health Sciences. 2024;7(4):712-720. doi:10.33438/ijdshs.1408322
Chicago
Joshi, Akshaya, Sandeep Shinde, and Pooja Jain. 2024. “Estimation of Patellofemoral Joint Dysfunction in Obese Post Menopausal Women”. International Journal of Disabilities Sports and Health Sciences 7 (4): 712-20. https://doi.org/10.33438/ijdshs.1408322.
EndNote
Joshi A, Shinde S, Jain P (July 1, 2024) Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports and Health Sciences 7 4 712–720.
IEEE
[1]A. Joshi, S. Shinde, and P. Jain, “Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women”, International Journal of Disabilities Sports &Health Sciences, vol. 7, no. 4, pp. 712–720, July 2024, doi: 10.33438/ijdshs.1408322.
ISNAD
Joshi, Akshaya - Shinde, Sandeep - Jain, Pooja. “Estimation of Patellofemoral Joint Dysfunction in Obese Post Menopausal Women”. International Journal of Disabilities Sports and Health Sciences 7/4 (July 1, 2024): 712-720. https://doi.org/10.33438/ijdshs.1408322.
JAMA
1.Joshi A, Shinde S, Jain P. Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports &Health Sciences. 2024;7:712–720.
MLA
Joshi, Akshaya, et al. “Estimation of Patellofemoral Joint Dysfunction in Obese Post Menopausal Women”. International Journal of Disabilities Sports and Health Sciences, vol. 7, no. 4, July 2024, pp. 712-20, doi:10.33438/ijdshs.1408322.
Vancouver
1.Akshaya Joshi, Sandeep Shinde, Pooja Jain. Estimation of Patellofemoral Joint Dysfunction in Obese Post menopausal Women. International Journal of Disabilities Sports &Health Sciences. 2024 Jul. 1;7(4):712-20. doi:10.33438/ijdshs.1408322